Development and initial validation of the Influences on Patient Safety Behaviours Questionnaire

Implementation Science

Rebecca Lawton³  Beverley Slater¹  Victoria Robins¹  Sahdia Parveen¹  Natalie Taylor² 

[1] Bradford Institute for Health Research, Bradford Royal Infirmary, Duckworth Lane, Bradford BD9 6RJ, United Kingdom;Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney NSW 2051, Australia;Institute of Psychological Sciences, University of Leeds, Leeds LS2 9JT, United Kingdom

关键词: Patient safety;    Healthcare;    Theoretical domains framework;    Behavior change;    Barriers;   

Others  :  813485
DOI  :  10.1186/1748-5908-8-81

 received in 2013-02-11, accepted in 2013-07-16,  发布年份 2013

【 摘 要 】

Background

Understanding the factors that make it more or less likely that healthcare practitioners (HCPs) will perform certain patient safety behaviors is important in developing effective intervention strategies. A questionnaire to identify determinants of HCP patient safety behaviors does not currently exist. This study reports the development and initial validation of the Influences on Patient Safety Behaviors Questionnaire (IPSBQ) based on the Theoretical Domains Framework.

Methods

Two hundred and thirty-three HCPs from three acute National Health Service Hospital Trusts in the United Kingdom completed the 34-item measure focusing on one specific patient safety behavior (using pH as the first line method for checking the position of a nasogastric tube). Confirmatory factor analysis (CFA) was undertaken to generate the model of best fit.

Results

The final questionnaire consisted of 11 factors and 23 items, and CFA produced a reasonable fit: χ² (175) = 345.7, p < 0.001; CMIN/DF = 1.98; GFI = 0.90 and RMSEA = 0.06, as well as adequate levels of discriminant validity, and internal consistency (r = 0.21 to 0.64).

Conclusions

A reliable and valid theoretically underpinned measure of determinants of HCP patient safety behavior has been developed. The criterion validity of the measure is still unknown and further work is necessary to confirm the reliability and validity of this measure for other patient safety behaviors.

【 授权许可】

   
2013 Taylor et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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